A Study of Efficacy and Safety of Combination Therapy With Guselkumab and Golimumab in Participants With Moderately to Severely Active Ulcerative Colitis

NCT ID: NCT03662542

Last Updated: 2023-12-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

214 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-20

Study Completion Date

2021-11-15

Brief Summary

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The purpose of this study is to evaluate the clinical efficacy and safety of combination therapy with guselkumab and golimumab in participants with moderately to severely active ulcerative colitis (UC).

Detailed Description

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Conditions

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Colitis, Ulcerative

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Combination Therapy

Participants will receive guselkumab Dose 1 as intravenous (IV) infusion and Dose 2 as subcutaneous (SC) injection; and golimumab Dose 1 and Dose 2 as SC injection and placebo to maintain the blind.

Group Type EXPERIMENTAL

Guselkumab Dose 1

Intervention Type DRUG

Guselkumab Dose 1 will be administered as IV infusion.

Guselkumab Dose 2

Intervention Type DRUG

Guselkumab Dose 2 will be administered as SC injection.

Golimumab Dose 1

Intervention Type DRUG

Golimumab Dose 1 will be administered as SC injection.

Golimumab Dose 2

Intervention Type DRUG

Golimumab Dose 2 will be administered as SC injection.

Placebo

Intervention Type DRUG

Placebo will be administered.

Monotherapy: Guselkumab

Participants will receive guselkumab Dose 1 as IV infusion, Dose 2 as SC injection and placebo to maintain the blind.

Group Type EXPERIMENTAL

Guselkumab Dose 1

Intervention Type DRUG

Guselkumab Dose 1 will be administered as IV infusion.

Guselkumab Dose 2

Intervention Type DRUG

Guselkumab Dose 2 will be administered as SC injection.

Placebo

Intervention Type DRUG

Placebo will be administered.

Monotherapy: Golimumab

Participants will receive golimumab Dose 1 and Dose 2 as SC injection and placebo to maintain the blind.

Group Type ACTIVE_COMPARATOR

Golimumab Dose 1

Intervention Type DRUG

Golimumab Dose 1 will be administered as SC injection.

Golimumab Dose 2

Intervention Type DRUG

Golimumab Dose 2 will be administered as SC injection.

Placebo

Intervention Type DRUG

Placebo will be administered.

Interventions

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Guselkumab Dose 1

Guselkumab Dose 1 will be administered as IV infusion.

Intervention Type DRUG

Guselkumab Dose 2

Guselkumab Dose 2 will be administered as SC injection.

Intervention Type DRUG

Golimumab Dose 1

Golimumab Dose 1 will be administered as SC injection.

Intervention Type DRUG

Golimumab Dose 2

Golimumab Dose 2 will be administered as SC injection.

Intervention Type DRUG

Placebo

Placebo will be administered.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Confirmed clinical diagnosis of ulcerative colitis (UC) at least 3 months before screening
* Moderately to severely active UC as defined by Mayo score
* History of inadequate response to or failure to tolerate conventional therapy
* Has screening laboratory test results within the study protocol defined parameters
* A woman of childbearing potential must have a negative highly sensitive serum (beta human chorionic gonadotropin) pregnancy test result at screening and a negative urine pregnancy test result at Week 0

Exclusion Criteria

* Has severe extensive colitis as defined in the study protocol
* Has UC limited to the rectum only or to less than (\<) 20 centimeter (cm) of the colon
* Has a history of latent or active granulomatous infection, including histoplasmosis or coccidioidomycosis, before screening
* Has any known malignancy or has a history of malignancy (with the exception of basal cell carcinoma; squamous cell carcinoma in situ of the skin; or cervical carcinoma in situ that has been treated with no evidence of recurrence; or squamous cell carcinoma of the skin that has been treated with no evidence of recurrence within 5 years before screening)
* Has known allergies, hypersensitivity, or intolerance to guselkumab or golimumab or their excipients
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Precision Research Institute

San Diego, California, United States

Site Status

Peak Gastroenterology Associates

Colorado Springs, Colorado, United States

Site Status

GCP Clinical Research

Tampa, Florida, United States

Site Status

Gastrointestinal Specialists of Georgia

Marietta, Georgia, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

Chevy Chase Clinical Research

Chevy Chase, Maryland, United States

Site Status

Woodholme Gastroenterology

Glen Burnie, Maryland, United States

Site Status

Sierra Clinical Research

Las Vegas, Nevada, United States

Site Status

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Fargo Gastroenterology Clinic, PC

Fargo, North Dakota, United States

Site Status

Texas Digestive Disease Consultants

Southlake, Texas, United States

Site Status

Gastroenterology Associates of Tidewater

Chesapeake, Virginia, United States

Site Status

Virginia Mason

Seattle, Washington, United States

Site Status

Washington Gastroenterology, PLLC

Tacoma, Washington, United States

Site Status

CEMIC (Centro de Educación Médica e Investigaciones Clínicas)

Buenos Aires, , Argentina

Site Status

Hospital Britanico de Buenos Aires

Buenos Aires, , Argentina

Site Status

Expertia S.A

Caba, , Argentina

Site Status

Centro Médico Dra. De Salvo

Caba, , Argentina

Site Status

Clínica Adventista Belgrano

Ciudad de Buenos Aires, , Argentina

Site Status

Fundacion de Estudios Clinicos

Rosario, , Argentina

Site Status

Hospital de Alta Complejidad en Red 'El Cruce'

San Juan Bautista, , Argentina

Site Status

Sanatorio 9 de Julio

San Miguel de Tucumán, , Argentina

Site Status

Princess Alexandra Hospital

Brisbane, , Australia

Site Status

St Vincent's Hospital - Melbourne

Fitzroy, , Australia

Site Status

Nepean Hospital

Kingswood, , Australia

Site Status

Royal Adelaide Hospital

North Terrace, , Australia

Site Status

Macquarie University Hospital

NSW, , Australia

Site Status

Royal Melbourne Hospital

Parkville, , Australia

Site Status

Mater Hospital Brisbane (Inflammatory Bowel Diseases)

South Brisbane, , Australia

Site Status

Hospital Das Clinicas Da Ufmg

Belo Horizonte, , Brazil

Site Status

Universidade Estadual Paulista 'Julio De Mesquita Filho'

Botucatu, , Brazil

Site Status

Inst Goiano Gastroenterologia e Endoscopia Digest Ltda - Clinica de Gastro

Goiânia, , Brazil

Site Status

Hospital das Clinicas de Porto Alegre

Porto Alegre, , Brazil

Site Status

Hospital das Clínicas da Faculdade de Medicina de RPUSP - HCRP

Ribeirão Preto, , Brazil

Site Status

Universidade Federal do Rio de Janeiro - Faculdade de Medicina

Rio de Janeiro, , Brazil

Site Status

Instituto Brasil de Pesquisa Clinica

Rio de Janeiro, , Brazil

Site Status

Fundacao do ABC - Centro Universitario FMABC

Santo André, , Brazil

Site Status

Kaiser Hospta

São José do Rio Preto, , Brazil

Site Status

Eurolatino Pesquisas Medicas Ltda

Uberlândia, , Brazil

Site Status

Charite Berlin

Berlin, , Germany

Site Status

Universitatsklinikum Frankfurt/ Medizinische Klinik 1

Frankfurt, , Germany

Site Status

Universitätsklinikum Jena

Jena, , Germany

Site Status

Universitaetsklinikum Ulm

Ulm, , Germany

Site Status

Clínica Saluz

Boca del Rio, , Mexico

Site Status

Clinicos Asociados BOCM, SC

Mexico City, , Mexico

Site Status

Centro Regiomontano de Estudios Clínicos Roma S.C.

Monterrey, , Mexico

Site Status

Capital Humano para la Investigacion clinica

Querétaro, , Mexico

Site Status

Centro Medico Zambrano Hellion

San Pedro Garza García, , Mexico

Site Status

Synexus Polska Sp. z o.o. Oddzial w Gdansku

Gdansk, , Poland

Site Status

Pratia MCM Krakow

Krakow, , Poland

Site Status

Endoskopia Sp. z o.o. z siedzibą w Sopocie

Sopot, , Poland

Site Status

Centrum Zdrowia MDM

Warsaw, , Poland

Site Status

WIP Warsaw IBD Point Profesor Kierkus

Warsaw, , Poland

Site Status

Centralny Szpital Kliniczny MSWiA w Warszawie

Warsaw, , Poland

Site Status

Niepubliczny Zakład Opieki Zdrowotnej Vivamed Jadwiga Miecz

Warsaw, , Poland

Site Status

Melita Medical Sp. z o.o.

Wroclaw, , Poland

Site Status

Kazan State Medical University

Kazan', , Russia

Site Status

City Clinical Hospital # 24

Moscow, , Russia

Site Status

Medical Center SibNovoMed LLC

Novosibirsk, , Russia

Site Status

Rostov State Medical University

Rostov-on-Don, , Russia

Site Status

International Medical Centre SOGAZ

Saint Petersburg, , Russia

Site Status

Elizavetinskaya hospital

Saint Petersburg, , Russia

Site Status

Eco-safety Ltd

Saint Petersburg, , Russia

Site Status

City Clinical Hospital #31

Saint Petersburg, , Russia

Site Status

Medical University Reaviz

Samara, , Russia

Site Status

Tver Regional Clinical Hospital

Tver', , Russia

Site Status

GBUZ Respublican Clinical Hospital n.a. GG Kuvatova

Ufa, , Russia

Site Status

City Clinical Hospital #2

Yaroslavl, , Russia

Site Status

Regional Clinical Hospital

Yaroslavl, , Russia

Site Status

Medical Association 'New Hospital'

Yekaterinburg, , Russia

Site Status

Communal Nonprofit Enterprise 'City Clinical Hospital # 2 N.A. Prof. O.O. Shalimov'

Kharkiv, , Ukraine

Site Status

SI 'L.T. Maloyi National Institute of Therapy of National Academy of Medical Sciences of Ukraine

Kharkiv, , Ukraine

Site Status

Municipal Institution 'Kherson City Clinical Hospital n.a. Y.Y.Karabelesh'

Kherson, , Ukraine

Site Status

Kyiv City Clinical Hospital #18

Kyiv, , Ukraine

Site Status

Medical Center 'Ok Clinic' of LLC 'International Institute of Clinical Studies'

Kyiv, , Ukraine

Site Status

Lviv Clinical Hospital on Railway Transport of Affiliate Healthcare center of JSC Ukrainian Railway

Lviv, , Ukraine

Site Status

Communal Nonprofit Enterprise of Lviv Regional Council 'Lviv Regional Clinical Hospital'

Lviv, , Ukraine

Site Status

Municipal Non-profit Enterprise 'Odesa Regional Clinical Hospital' Odesa Regional Council

Odesa, , Ukraine

Site Status

Sumy State University, Sumy Regional Clinical Hospital

Sumy, , Ukraine

Site Status

Municipal institution of Tepnopil Regional Council 'Ternopil University Hospital'

Ternopil, , Ukraine

Site Status

Medical Center Ltd 'Health Clinic', Department Of General Therapy

Vinnytsia, , Ukraine

Site Status

Vinnitsia Regional Clinical Hospital n.a. M. I. Pyrogov

Vinnytsia, , Ukraine

Site Status

Countries

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United States Argentina Australia Brazil Germany Mexico Poland Russia Ukraine

References

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Shao J, Vetter M, Vermeulen A, Feagan BG, Sands BE, Panes J, Xu Z. Combination Therapy With Guselkumab and Golimumab in Patients With Moderately to Severely Active Ulcerative Colitis: Pharmacokinetics, Immunogenicity and Drug-Drug Interactions. Clin Pharmacol Ther. 2024 Jun;115(6):1418-1427. doi: 10.1002/cpt.3235. Epub 2024 Mar 15.

Reference Type DERIVED
PMID: 38488354 (View on PubMed)

Feagan BG, Sands BE, Sandborn WJ, Germinaro M, Vetter M, Shao J, Sheng S, Johanns J, Panes J; VEGA Study Group. Guselkumab plus golimumab combination therapy versus guselkumab or golimumab monotherapy in patients with ulcerative colitis (VEGA): a randomised, double-blind, controlled, phase 2, proof-of-concept trial. Lancet Gastroenterol Hepatol. 2023 Apr;8(4):307-320. doi: 10.1016/S2468-1253(22)00427-7. Epub 2023 Feb 1.

Reference Type DERIVED
PMID: 36738762 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2018-001510-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CNTO1959UCO2002

Identifier Type: OTHER

Identifier Source: secondary_id

CR108527

Identifier Type: -

Identifier Source: org_study_id